Saturday, April 13, 2013

Confirmed Case of H7N9 in Beijing - 4/13/13

In the early morning of April 13, the China CDC review, the city comprehensive judgment first case of human infection with the H7N9 avian influenza confirmed cases. The patients are in stable condition, two close contacts found no abnormalities. The case, the situation is as follows: the  
  patients Yaomou, female, 7 years old, living in the old village center in Shunyi District Houshayu Town Street. The patients parents live engaged in the live birds trafficking work. Children symptoms such as fever, sore throat, cough, headache in the morning of April 11, 11:00 to Ditan Hospital emergency department visits, admitted to the hospital for lung infection in 13:00. Based on further examination results and the progression of the disease after admission, the hospital in the early morning 1:50 on the 12th reported cases of influenza surveillance Chaoyang District CDC, 3:00 specimens sent to Chaoyang District CDC. At 10:00 on the 12th Chaoyang District CDC confirmed influenza A universal primer nucleic acid testing positive, and the specimens were sent at 11:00 Beijing CDC review detection. At 15:30 on the 12th Beijing Municipal Center for Disease Control detected the H7N9 avian influenza virus nucleic acid in accordance with the provisions of the National Health and Family Planning Commission, and suspected cases of the samples sent to China CDC review of detection. In the early morning of the 13th, the Chinese Center for Disease Control feedback the outcome of the review. Clinical expert in Beijing, according to the Chinese Center for Disease Control and the Beijing CDC pathogen detection and review results, combined with the patient's clinical manifestations, epidemiological investigation, in accordance with the National Health and Family Planning Commission to develop the people infected with the H7N9 avian flu clinics program (2013, second edition) ", the overall judgment of the cases of human infection of H7N9 avian influenza confirmed cases. 
  The children admitted to hospital, hospital to be anti-infection and symptomatic treatment.Confirmed cases of influenza surveillance, hospital give children Tamiflu antiviral rehydration supportive care, after given ECG are too sick to go to the ICU ward, give suck in at 23:50 on the 11th (15 hours from the time of onset) oxygen therapy; same time, Chinese proprietary Yinqiao the Powder Plus White Tiger Decoction given in Chinese medicine services. After active treatment, children with cough hold your breath symptoms improved, body temperature down to 37 ° C from the highest of 40.2 ℃, lung wet rales disappeared. The patient's condition is stable. 
  Recognized as suspected cases, the Beijing Municipal Center for Disease Control, Shunyi District and Chaoyang District CDC disposal to investigate the scene, confirmed that two close contacts and medical observation measures. As of now, the two close contacts found no abnormalities. 
  The first case of human infection with the H7N9 avian influenza diagnosis and treatment process, from the first visit to the diagnosis process, only a day and a half's time, children with the disease will soon be effectively controlled, fully display the city early prevention and control work results. First, the children according to the publicity to get the information directly to the designated hospitals Ditan Hospital for treatment, to improve the treatment efficiency, reduce close contacts. Clinics behavior Ditan Hospital in strict accordance with the provisions of the protective measures to ensure the safety of medical staff, attention to the popular history of interrogation, and influenza A universal primers monitoring and timely reporting of outbreaks, created the conditions as soon as possible diagnosis, the early application Tamiflu anti viral treatment, children with the disease remission quickly brought under control. Third District, city and national levels, the CDC rapid response and seamless connection, day and night, working overtime, and be completed within 24 hours to detect, review and re-review process. 
  The Beijing municipal government attaches great importance to the H7N9 avian flu prevention and control work. National Health and Family Planning Commission recently informed Shanghai and other places found that people infected with the H7N9 bird flu cases, the party secretary, Comrade Guo Jinlong, Mayor Wang Anshun Comrade high degree of attention, made ​​important instructions and instructions on strengthening the monitoring, prevention and control, and advocacy work. In the morning of April 6, Wang Anshun mayor held a special meeting, listen to health, COAG, industrial and commercial departments to report for deployment to the prevention and control work. According to the Health and Family Planning Commission, the deployment of the municipal government, the Beijing Municipal Health Bureau, well-arranged, well-organized, solid implementation, mobilization Capital Region Health System good program to develop surveillance and testing, medical treatment, training of personnel, material reserves, emergency drills, promote education, joint prevention and control work.These are the first cases to quickly keen found that timely and effective treatment. 
  Li Shixiang, Linke Qing vice mayor found suspected cases of H7N9 avian influenza in the evening of the 12th, the night meeting, listen to the reporting of health, agriculture, industry and commerce departments, researchers agree that the recommendations put forward by the Health Bureau and other departments, based on previous work, the prevention and control of the next stage of deployment. First, relying on public health emergencies emergency headquarters in Beijing, the start of human infection with the H7N9 avian influenza prevention and control headquarters, set up under the monitoring group, medical group, epidemiological survey group, and material support groups, advocacy groups, animal husbandry and veterinary groups, social anti- control of the steering group.The headquarters office is located in the Municipal Health Bureau. Is strictly banned live poultry markets of all kinds of tangible and intangible, to stop live animal, stop the pigeon flying to increase poultry (wildfowl) monitoring by sectors such as agriculture and gardening. Medical institutions and high-risk groups to carry out the monitoring of influenza-like illness, health departments to strengthen protection of the four categories of high-risk groups (poultry breeding, slaughter, storage, transportation personnel; the poultry trading operations staff; Park poultry operation personnel; flora and fauna by the community and migratory bird monitoring) the implementation of the health monitoring network laboratory start 55 infectious diseases, and the implementation of human infection with the H7N9 avian influenza virus screening for influenza-like illness. The four is Health Bureau held a meeting of the city's health system video released epidemic, the implementation of the "early" approach, urging medical institutions to implement prevention and control measures, to start emergency squad and epidemiological survey squad and a 24-hour Beiqin. 5 is a strict market surveillance by the Drug Administration Department, do drugs reserve, reserves of 200 million units of Tamiflu. Sixth, the group led by the Commerce Department set up a material reserves, good reserves of the social aspects of prevention and control of protective materials. 7 by the education sector to further strengthen the the schools morning the afternoon inspection system, the implementation of the students infectious disease early warning monitoring system. Eighth Municipal TCM Bureau of Traditional Chinese Medicine experts involved in the clinical treatment, accumulated experience and improve treatment options and, if necessary, start in preventive medicine medication. Nine public opinion monitoring mechanism, the establishment of human infection of H7N9 avian influenza Public Opinion Special Report. Municipal Health Bureau in conjunction with the Municipal Bureau of Agriculture held a news conference to release information to the community. 10 is in accordance with the requirements of the "Quartet responsibility, supervision and inspection, carried out by the municipal government organizations to implement prevention and control measures. (Source: Beijing Health Information Network) 

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